<!DOCTYPE html>
<html xmlns:th="http://www.thymeleaf.org" xmlns:shiro="http://www.pollix.at/thymeleaf/shiro">
<meta charset="utf-8">
<head th:include="include :: header"></head>
<body class="gray-bg">
<div class="wrapper wrapper-content animated fadeInRight">
    <div class="row">
        <div class="col-sm-12">
            <div class="ibox float-e-margins">
                <div class="ibox-content">
                    <form class="form-horizontal m-t" id="signupForm">
                        <div class="form-group">
                            <label class="col-sm-3 control-label">检验单号：</label>
                            <div class="col-sm-8">
                                <input id="order" name="order" class="form-control" type="text">
                            </div>
                        </div>
                        <div class="form-group">
                            <label class="col-sm-3 control-label">检验时间：</label>
                            <div class="col-sm-8">
                                <input id="inspectionTime" name="inspectionTime" class="form-control" type="datetime-local">
                            </div>
                        </div>
                        <div class="form-group">
                            <label class="col-sm-3 control-label">检验品种：</label>
                            <div class="col-sm-8">
                                <input id="varieties" name="varieties" class="form-control" type="text">
                            </div>
                        </div>
                        <div class="form-group">
                            <label class="col-sm-3 control-label">检验结果：</label>
                            <div class="col-sm-8">
                                <input id="result" name="result" class="form-control" type="text">
                            </div>
                        </div>
                        <div class="form-group">
                            <label class="col-sm-3 control-label">第三方检验机构名称：</label>
                            <div class="col-sm-8">
                                <input id="thirdParty" name="thirdParty" class="form-control" type="text">
                            </div>
                        </div>
                        <div class="form-group">
                            <label class="col-sm-3 control-label">负责人：</label>
                            <div class="col-sm-8">
                                <input id="principal" name="principal" class="form-control" type="text">
                            </div>
                        </div>
                        <div class="form-group">
                            <label class="col-sm-3 control-label">联系方式：</label>
                            <div class="col-sm-8">
                                <input id="telephone" name="telephone" class="form-control" type="text" maxlength="11">
                            </div>
                        </div>
                        <div class="form-group">
                            <label class="col-sm-3 control-label">标识(0 种植环节
                                1 葡萄酒加工环节)：</label>
                            <div class="col-sm-8">
                                <select name="flag" class="form-control">
                                    <option value="0">
                                        种植环节
                                    </option>
                                    <option value="1">
                                        葡萄酒加工环节
                                    </option>
                                </select>
                            </div>
                        </div>
                        <div class="form-group">
                            <div class="col-sm-8 col-sm-offset-3">
                                <button type="submit" class="btn btn-primary">提交</button>
                            </div>
                        </div>
                    </form>
                </div>
            </div>
        </div>
    </div>
</div>
<div th:include="include::footer"></div>
<script type="text/javascript" src="/js/appjs/blog/inspection/add.js">
</script>
</body>
</html>
